Wiki Office visit/post op/new injury

[DBARON]

I have a patient who had surgery on there back on 8/3/15. They came in on 8/24/15 for there knees and had injections.

If i bill an office visit of 99213 I would normally use modifier 24 because of the injection. but since this is also a post op I need modifier 25. Can i use both modifiers on the 99213?

UHC is the ins. how do I get this covered?

thanks for any help

 

[mhstrauss]

I have a patient who had surgery on there back on 8/3/15. They came in on 8/24/15 for there knees and had injections.

If i bill an office visit of 99213 I would normally use modifier 24 because of the injection. but since this is also a post op I need modifier 25. Can i use both modifiers on the 99213?

UHC is the ins. how do I get this covered?

thanks for any help

It is possible to use both modifiers, as long as documentation supports them. However, you have the reasoning backwards! Use 24 to indicate that this E/M service is separate from the post-op, and 25 to indicate that the E/M is beyond what is required for the injection.

HTH!